Parental food neophobia, feeding practices, and preschooler’s food neophobia: A cross-sectional study in China

Yong, Cuiting; Kuang, Xiaoni; Liu, Yan; Xiang, Caihong; Xi, Yue; Huo, Jiaqi; Liang, Jiajing; Zou, Hanshaung; Lin, Qian

doi:10.1016/j.appet.2023.106547

Cited by 6 publications

(5 citation statements)

References 68 publications

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“…Children with high levels of food neophobia and other different feeding problems showed reduced adherence to standard eating patterns, which can negatively affect dietary diversity and lead to imbalanced nutrient intake [ 38 ]. This is supported by studies by Yong [ 39 ], Schmidt [ 40 ], Bell [ 41 ], and Kaar [ 13 ] Falciglia [ 3 ].…”

Section: Discussionsupporting

confidence: 64%

Prevalence of Feeding Problems in Children and Associated Factors—A Cross-Sectional Study among Polish Children Aged 2–7 Years

Białek-Dratwa

Kowalski

2023

Nutrients

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Food neophobia is an aversion to eating or a reluctance to try unfamiliar or new foods. From an evolutionary perspective, this behaviour may minimise the risk of consuming foods that are harmful to health. However, such aversion causes food monotony, which may result in nutritional deficiencies. This study aimed to assess the prevalence of feeding problems among Polish children aged 2–7 years using the Montreal Children’s Hospital Feeding Scale and to investigate the correlation between age, gender, mode of feeding in infancy, including complementary feeding, and the prevalence of feeding difficulties in the study group of children. Material and method: The study group consisted of 585 children: 299 boys (51.11%) and 286 girls (48.89%). The study was conducted using a questionnaire-based method, with an indirect survey technique using a web-based form (CAWI). The research tool used was the Montreal Children’s Hospital-Pediatric Feeding Program. Results: Groups with the lowest risk feeding problems, risk 0, comprised 445 children (76.06%); group 1, middle difficulties, 59 children (10.08%); group 2, moderate difficulties, 40 children (6.84%); and group 3, most difficulties, 40 children (7.01%). The mean MCH-FS score for the entire study group was calculated and was 37.29 points ± 12.02; for 2 year olds, 35.69 points; for 3 year olds, 37.41 points; for 4 year olds, 38.31 points; for 5 year olds, 38.46 points; for 6 year olds, 37.95 points; and for 7 year olds, 36.06 points. The mean value of the MCH-FS scale for girls was 37.44 points, and for boys, 37.32 points. None of the above parameters correlated with the risk of feeding problems, including age, except with a non-significative tendency to be higher in the youngest age. Conclusion: Breast milk feeding and the time of complementary feeding (CF) in the study group did not influence the risk of feeding problems. Using the full BLW method during CF can protect the child against the occurrence of feeding problems such a food selectivity or picky eating in the future. In our study, children with difficulties during CF, mainly the vomiting reflex, were more likely to develop feeding problems such as food neophobia. Based on our study, we did not observe a correlation between age, gender, and the occurrence of feeding problems, and there was only a non-significant tendency to be higher in the youngest age. However, further research needs to be undertaken to assess how such behaviour affects subsequent feeding difficulties.

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Section: Discussionsupporting

confidence: 64%

Prevalence of Feeding Problems in Children and Associated Factors—A Cross-Sectional Study among Polish Children Aged 2–7 Years

Białek-Dratwa

Kowalski

2023

Nutrients

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“…In contrast, another study found that among Chinese children with TD, the FN score was 23.73 ± 4.45. Children with autism have a much higher fear of new food than children with TD [39]. Previous studies have found that food neophobia in children generally manifests itself in the form of rejection of healthy foods [40,41], preferring unhealthy, high-energy food [42].…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has revealed a favorable association between parental "pressure to eat" feeding techniques and food neophobia in typical preschoolers [39]. The possible causes are as follows: the first is parents' perception that pressure to eat helps improve children's diets.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Caregiver Pressure to Eat on Food Neophobia in Children with Autism Spectrum Disorder: A Cross-Sectional Study

Xie,

Yong,

Xiang

et al. 2024

Children

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(1) Background: With autistic children’s high pervasiveness of eating problems and inappropriate feeding behaviors by their caregivers, this study wanted to inspect the connection between caregivers’ pressure to eat and food neophobia in these children. (2) Methods: Cross-sectional overview of 160 guardians of kids aged 2 to 7 years. After one-on-one questioning by the researcher, the collected information on the socio-demographic characteristics of the children with autism, caregiver feeding behavior, and new food neophobia (FN) scores was entered into the Questionnaire Star system. (3) Results: The mean FN score was 25.56 ± 6.46. The caregiver’s pressure to eat positively related to children’s FN (β = 0.164 95% CI, 0.078, 2.163). In these children, we found a negative correlation between FN score and the frequency of vegetable intake (p ≤ 0.001), fruit intake (p ≤ 0.05), aquatic product intake (p ≤ 0.05), and dietary diversity score (p ≤ 0.01), and positively correlated with the frequency of snack intake (p ≤ 0.05). (4) Conclusions: Caregiver pressure to eat was positively associated with high levels of FN in Chinese kids with ASD, which in turn negatively impacted dietary quality. To improve eating habits, caregivers should reconsider their feeding strategies and avoid using forceful methods to ease food neophobia in these children.

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“…In our study, preschooler-age children’s average food neophobia score was 35.3, which was higher than the results obtained in another study, 23.73 ± 4.45 (25). In the same study, parental modeling (β: −0.470; 95%CI: −0.732, −0.207) and the frequency of children eating with their families at home (β: −0.407; 95%CI: −0.707, −0.108) were negatively associated with children’s food neophobia scores [ 43 ]. A previous study showed there was a statistically significant correlation between the neophobia that children develop and the neophobic characteristics of their parents’ dietary behavior [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Impacting the Reduction in Neophobia Prevalence in Phenylketonuria Patients

Bugi,

Jugănaru,

Isac

et al. 2024

Nutrients

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Food neophobia (FN), the fear of sampling new foods, can have a significant impact on children’s eating habits. Children with phenylketonuria (PKU), a hereditary condition that inhibits the body’s capacity to metabolize phenylalanine, should take this attitude with caution. Patients with PKU must follow a rigorous phenylalanine (Phe)-restricted diet to avoid brain malfunction that can include intellectual disability, seizures, and behavioral difficulties. The novelty of our work stems from the fact that we explored the origins of this incorrect intake pattern, which exacerbates PKU patients’ already fragile health. We conducted a cross-sectional study on 34 previously diagnosed phenylketonuria patients and a control group ranging in age from 7 months to 40 years, with a sex ratio of M/F 2:1. The Food Neophobia Scale (FNS) was used to determine neophobia. We used JASP (version 0.18.1) statistical analysis to examine the relationship between neophobia and PKU condition, age and nutritional status at the time of study, diet compliance, parental educational level, period from birth to PKU diagnosis, and environmental (rural/urban) provenience of PKU patients. According to the data, 61.76% of patients with PKU were neophobic, as were 70.57% of the control group. Food neophobia was associated with PKU patients’ present age, the period from birth to PKU diagnosis, and parental educational level.

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Parental food neophobia, feeding practices, and preschooler’s food neophobia: A cross-sectional study in China

Cited by 6 publications

References 68 publications

Prevalence of Feeding Problems in Children and Associated Factors—A Cross-Sectional Study among Polish Children Aged 2–7 Years

Prevalence of Feeding Problems in Children and Associated Factors—A Cross-Sectional Study among Polish Children Aged 2–7 Years

The Impact of Caregiver Pressure to Eat on Food Neophobia in Children with Autism Spectrum Disorder: A Cross-Sectional Study

Factors Impacting the Reduction in Neophobia Prevalence in Phenylketonuria Patients

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